Pick up a mercury sphygmomanometer on Monday.

Check it to see if the mercury column is at "0".

This is similar to how we use a mercury thermometer, which must be measured at the correct scale point. Otherwise, the data read out will be inaccurate.

After confirming that the position of the mercury column is correct.

On Monday, he asked Cao Xin to lay his arms flat on the table, so that his elbows were at the same level as his heart.

This is the standard posture with a mercury sphygmomanometer.

Keep the mercury meter, elbow, and heart at the same level.

The next step is to wrap the air sleeve evenly against the skin and wrap it around the upper arm. It can't be tied too tightly here, and it can't be tied too loosely.

Of course, the position of the tie is also particular.

Visually, the lower edge of the air sleeve is about 2~3 places above the elbow fossa.

The air cuff is on the surface of the brachial artery.

Once tied, place the stethoscope over the brachial artery.

One thing to note is that the earpiece cannot be tucked into the air sleeve.

To be on the brachial artery at the lower border of the air cuff.

This is naturally not wrong for veterans on Monday.

At this point, the early action is complete.

Enter the actual measurement process.

Tighten the air valve on the air sleeve on Monday, and quickly pump into the air sleeve while auscultating.

When the brachial pulse disappears, the mercury column rises again.

Monday unscrewed the gas valve and deflated.

At this time, the mercury slowly drops.

When the first brachial pulse was heard again, Zhou Zhou quickly read the value on the mercury column at this moment.

120hg。

This value is systolic blood pressure, which is also what we usually call high pressure.

This is not over, Monday continued to deflate, listening carefully to the stethoscope in his ear, and when the pulse sounded weaker, Monday read the blood pressure scale again.

80hg。

Needless to say, this value is diastolic blood pressure, which is what we usually call low pressure.

At this point, the test ends.

Report the measurements to the examiner on Monday, "systolic blood pressure 120 hg, diastolic blood pressure 80 hg." ”

The examiner nodded.

On Monday, there was no flaw in the whole operation, and the measurement process was very smooth.

A perfect score for an operation.

But that's not all.

As required by the exam, the examiner also asks the candidate two questions.

The examiner said, "Why can't the stethoscope earpiece be tucked under the air sleeve?"

This question was answered by my father when he didn't go to medical school.

He blurted out: "The stethoscope is stuffed in the cuff, which makes the cuff more urgent, and the increased pressure leads to errors, which reduces the pressure in the brachial artery and causes the blood pressure to be higher than the real one." ”

"Hmm. The examiner was satisfied with Monday's answer, and then asked, "What is the correct position for measuring blood pressure in the brachial artery?"

"Two positions, sitting and recumbent. Brachial artery, flat 4th costal cartilage in sitting position, flat midaxillary line in decubitus position. ”

This level of problem.

For Zhou Sheng, who has been helping at the clinic since he was a child, it was simply a pediatric problem.

I've been playing with this stuff since I was a kid.

The three examiners nodded at the same time.

Scoring, needless to say.

If you don't give a full score for this question, it will be intolerable.

Then, the second question.

This is an eye exam.

The examiner said to Monday: "Do eye movements, eye accommodation, and vergeometric reflex tests. ”

This is also a basic check-up item.

Monday, of course, is a no-brainer.

Fingers are used in both tests.

The way is slightly different.

On Monday, the first eye movement test is performed.

He stretched out an index finger, and then placed his fingertip half a meter in front of Cao Xin's eyes.

Then he said, "Don't move your head, but follow my fingertips." ”

Cao Xin let out a "hmm".

After sitting here for a long time, he finally made his first sound.

Zhou Yi's fingertips moved in the order of 6 directions: left, left, left, right, right, right, and right, and wrote a capital "h" in the air.

Cao Xin's eyeballs followed the movement of Zhou Sheng's fingertips.

It's as simple as that.

Next, there is the examination of ocular accommodation and verg reflexes.

This test is even simpler.

Wednesday stepped back a little, about a meter.

He also stretched out his index finger and said, "Stare at my index finger." ”

Then he moved his fingers to the front of Cao Xin's nose at a constant speed, until he stopped at about 10.

In practice, this test is to detect the miosis and convergence of both eyes on both sides.

It's a lot like playing cross-eyed when I was a kid.

Two eye exams were done easily on Monday.

Then came the Q&A session.

It was still the examiner in the middle who asked: "The two eyes are not functioning well, what can't be considered together?"

"Oculomotor nerve damage. ”

Problems with eye movement must be related to nerves.

It's very simple, and I answered it in seconds on Monday.

"What is the clinical significance of the unequal size of the pupils on both sides, the narrowing of one side?"

The question is simpler.

As an expert outside the gods, Zhou Yi has been exposed to many cases with different pupil sizes, and the final diagnosis is that there is a problem with the central nervous system in the head.

He has also encountered it in real-life clinical practice.

He replied without hesitation.

"Paciso pupils may be considered for innervation disorders of the central nervous system or iris. ”

Two questions about the eyes are answered fluently.

The three examiners exchanged glances.

As soon as this candidate came in, he was full of confidence and relieved his peers.

He's a seasoned veteran.

It seems that during the internship in the hospital, I got a lot of exercise.

The trio barely hesitated and gave their first perfect score of 20 for the day!

Today, in the previous rounds, they also gave high scores.

But don't look at the 1-point gap.

That's because this item is only 20 out of 20.

If you have enough time and take more exams, Monday will definitely be able to widen the gap of 1 point to 2 points, 3 points, 4 points, and 5 points...... Or even more, more.

The difference in points is not just a difference of 1 point.

Monday was not visible on the spot.

However, he could already see it from the expressions of the three examiners.

His performance should be king-level.

Next, Cao Xin operated.

And Monday will cooperate with him.

Cao Xin's clinical skills were not bad.

I also interned at the Central Hospital for more than a year.

But it was the first time to take such an exam.

The examiner like the three Buddhas was in front of him, and he couldn't let go of it.

So play in general.

The operation is so-so, and when answering questions, it is even more stammering.

Coupled with the perfect performance of Zhou Yi in front, the examiners have a comparison in their hearts.

So his score was not high, and he only got 12 points for the two questions.

The two finished the first physical examination of this second stop.

We are about to move on to the second item, the basic clinical operation.

This one, too, is three examiners.

And what's even more terrifying is that this time there is no companion.

One person at a time enters the exam.

1v3 rhythm!

Zhou Zhou and Cao Xin had just met, and they had to separate again.

There will be a date later.

……

Healers are incomparable